Inspection on 09/07/07 for Phoenix House

This inspection was carried out on 9th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Phoenix House 24/06/09

Phoenix House 21/04/08

Phoenix House 24/11/06

Phoenix House 03/02/06

Phoenix House 27/09/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Phoenix House 54 Andrews Lane Formby Liverpool Merseyside L37 2EW Lead Inspector Mrs Trish Thomas Key Unannounced Inspection 10:30 9 and 12th July 2007 th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Phoenix House DS0000064015.V345677.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Phoenix House DS0000064015.V345677.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Phoenix House Address 54 Andrews Lane Formby Liverpool Merseyside L37 2EW 01704 831866 01704 831866 phoenix_house@hotmail.co.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Total Care Homes Ltd Sandra Farrell Care Home 18 Category(ies) of Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (16), of places Sensory impairment (1) Phoenix House DS0000064015.V345677.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include 18 OP The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 24th November 2006 Date of last inspection Brief Description of the Service: Phoenix House is a care home for 18 older people situated in a quiet residential street in Formby, close to a bus route and train station. The home is a converted Victorian villa with a car park at the front of the building and secluded gardens at the back. There is a large communal lounge, a separate dining room, and bedrooms are situated on ground and upper floors. There is a passenger lift for use by residents who are accommodated on upper floors. The home has an assisted bath, but does not have a hoist. Phoenix House is staffed throughout the day and night, providing personal care, home cooked meals and a laundry service. All residents are registered with a G.P. of their choice and are supported in accessing district nursing and paramedical services, as needed. The registered provider of Phoenix House is Dr. Chris Farrar, Total Care Homes Limited, and the registered manager is Mrs. Sandra Farrell. The weekly charge in Phoenix House is £370.00 and not included in the fee are the costs of hairdressing and chiropody. Phoenix House DS0000064015.V345677.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The visits were un-announced on the 9th and 12th July 2007. The manager, Mrs. Farrell was on annual leave and the registered provider Dr. Farrar, who attends Phoenix House on a daily basis, called in for a general discussion and to provide an update on present and future developments in Phoenix House. Discussion took place with residents and with staff on duty during both visits. Care records, health and safety certificates and staff files were read and the care of three residents was tracked. Residents were visited in the lounge and in their bedrooms, and they commented on the service, which they receive. A tour of grounds was carried out and the food storage areas, kitchen, medication storage area and laundry were visited. What the service does well: What has improved since the last inspection? There was no evidence that residents have been admitted to Phoenix House in recent months whose needs are not within the registered category (due to having been assessed with dementia). It was evident in residents’ assessments that the service is able to demonstrate that staff skills and numbers, the environment and facilities on offer can meet each resident’s needs (other than where recommendations are made regarding training and staff development). Phoenix House DS0000064015.V345677.R01.S.doc Version 5.2 Page 6 Requirements from the last visit regarding medication have been addressed by improving procedures regarding care plans for PRN/As Required medication. Risk assessments have been carried out for residents who self-medicate and the medication administration records, which were read, were to a satisfactory standard. Staff who were on duty said they had received training in protection of vulnerable adults. The training has been undertaken to ensure that residents are protected from abuse and that staff are aware of the indicators of abuse and reporting procedures. The ground floor toilets were clean and in good order during the inspection. Since the last visit, a complaint has been made, that the toilets were not always clean. In response to this complaint, and to avoid infection, antibacterial hand wash has been provided in bathrooms. The toilets are checked regularly by staff on each shift, to ensure they are clean. An extractor fan has been fitted in one toilet, as requested by a resident. To avoid the risk of burns to residents, a cover has been fitted to the radiator in the lounge. What they could do better: As there has been a fairly high turnover of staff in recent months, it is advised that training for staff be reviewed. To ensure that staff have the skills needed to carry out their duties, all staff who give out medication and are in charge of their shift, should have undertaken medication training. Some of the staff who were spoken with had not received formal supervision (one to ones) recently, and to ensure they have the management support they need, it is advised that this be carried out and is ongoing. There is a standardised format for care plans but records of medical care were difficult to track. Staff were not using the designated section for health notes, to write up medical interventions. Those who were on duty were advised of this and of the need for clear and accessible records of medical referrals and treatment for each resident. A record is maintained in Phoenix House of accidents to residents. To ensure effective risk management, the accident book should be routinely monitored and risk assessments carried out. An environmental risk assessment will be needed regarding residents’ access to the rear garden following a fall to a resident who regularly goes outside. There is a complaints procedure in Phoenix House, and provider complaints investigations have been completed within given timescales with remedial action stated. From residents’ comments, some are not confident about Phoenix House DS0000064015.V345677.R01.S.doc Version 5.2 Page 7 openly making complaints as they feel they will not be listened to. To overcome this, staff are to receive instruction in complaints management and residents to be reassured that any complaints they have, whether written or verbal, will be investigated and remedial action taken if upheld. It is to the credit of staff that they have worked hard to provide a programme of activities for residents to provide social stimulation and enjoyment. It is advised that consultation with them on this is continuous, as some residents said they were not completely satisfied. To ensure that residents are provided with adequate quantities of suitable, wholesome and nutritious food which is varied and properly prepared, staff who prepare food for residents should be qualified to do so and a recommendation is given with regards to training for the cook. There is a written menu, which is displayed and discussed with residents by staff, and they are offered choices and alternatives to the planned meal. Residents commented that they were not satisfied with the standard of food regarding content (frozen and pre-prepared food, lack of fresh vegetables, and food being often cooked in the microwave). To ensure that there is accurate documentation with regards to catering, improvements to kitchen records will be necessary and it is advised that contact be made with Environmental Health for guidance on this. Phoenix House is a homely setting for residents and they appear to be comfortable. Remedial work to the roof and grounds will be needed to ensure that the environment is safe and suitable for residents. To ensure that hygiene and infection control are to the highest standards, items for laundering must be placed in a container before being taken through the dining room to the laundry and care staff who prepare food in the kitchen should be provided with protective clothing. Please contact the provider for advice of actions taken in response to this Phoenix House DS0000064015.V345677.R01.S.doc Version 5.2 Page 8 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Phoenix House DS0000064015.V345677.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Phoenix House DS0000064015.V345677.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Residents’ needs have been assessed to ensure that Phoenix House will be suitable, and they are given information they need before making the decision to move in. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standards 3 and 4. The care files belonging to three residents were read. These contained preadmission assessments carried out by staff from Phoenix House and there is a freely available service user guide and statement of purpose, to inform prospective residents about the services on offer. For people who are referred to Phoenix House through social services, a social work assessment is carried out for each person to inform the individual’s care plan. Phoenix House DS0000064015.V345677.R01.S.doc Version 5.2 Page 11 Phoenix House DS0000064015.V345677.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. All residents have a care plan and access to health services. Risk management and training is not sufficient to ensure that the care plans are clear and residents’ wellbeing is protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standards 7,8,9,10. Three care plans were tracked and the methods used were as follows, action plans were checked against the outcomes of needs assessments, as were systems followed by staff to review action plans and manage potential risks for three residents. Care plans had been set out to address health and personal care needs and social preferences. These in the main were well maintained and meeting the needs of each individual. Shortfalls were noted regarding methods of recording information, and actions to be taken to manage risks and recommendations are made in the relevant section of this report as follows : Phoenix House DS0000064015.V345677.R01.S.doc Version 5.2 Page 13 To ensure that residents’ health care needs are fully documented, records should be maintained regarding medical referrals and the outcomes using the appropriate section of the care plan. To ensure that the risk of falls to residents is identified, and as far as possible eliminated, the accident book should be monitored and risk assessments carried out. All residents of Phoenix House are registered with local G.P.s and there was evidence in their care plans that they have access to paramedical services in the community and through domiciliary visits. A resident said, “I have had a visit from the chiropodist recently and if I ask for anything health related, it is arranged for me by staff.” There is a procedure in place in Phoenix House for managing residents’ medication. The medication administration records were read and the storage and auditing systems checked. There were stocks of each prescribed drug on record, for each of the individuals whose care was tracked. The medication procedure which is followed in Phoenix House, was discussed with the senior person on duty, who gives out medication on a regular basis. This member of staff said she had not received training in medication administration. To ensure that all staff have the necessary skills in medication management, it is recommended that training in this be updated for all staff who give out medication to residents. Staff who were spoken with were aware of the ways by which residents’ privacy is respected and best practice in this was observed during the visit. A resident said, “I am comfortable here and I come and go as I please, get up and go to bed when I like without interference. I am handed my mail unopened and am satisfied with this.” Another confirmed that staff are respectful of her privacy, when giving personal care. “I am supported in private and have never had concerns about the staff’s conduct in this.” Phoenix House DS0000064015.V345677.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. Social activities and meals do not meet residents’ expectations. Staff are taking action to promote residents diversity. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standards 12, 13, 14, 15. Residents’ opinions of the social activities available in the home were mixed. Some were happy to follow their own routines, whilst others said there was little to stimulate them socially. Staff said that for residents of Phoenix House, there is a programme of activities available, both in-house and in the community. There are regular quizzes, bingo sessions, board games and films on record, also an outing once a week by mini bus for those who wish to take part. A recommendation is made that consultation is ongoing with residents regarding their preferred activities and outings. It is clear that measures have been taken to improve residents’ quality of life through more varied activities and further development will be needed. Phoenix House DS0000064015.V345677.R01.S.doc Version 5.2 Page 15 Details of residents’ next of kin and family contacts are recorded on their care plans and there are no undue restrictions on visiting times. Five residents who commented said that they are given privacy when entertaining visitors. Residents’ diversity is respected in Phoenix House through recognition of their beliefs and preferences. There was evidence of this in their care plans and from their comments. Residents’ voting arrangements and personal choices in lifestyle are on record. Arrangements are made for ministers to visit for those in residence who have religious beliefs. One lady said, “The priest visits and I have communion regularly and this is important to me.” Residents appeared relaxed during the visit and were using various areas of the building, including the lounge, dining room, garden and their bedrooms. The food stores and kitchen were visited and residents were spoken with about their meals. A menu is displayed on the notice board and choices and alternatives to the main meal, (served around midday), are on offer. Residents are consulted daily about their evening meal and have a free choice. In store there were reasonable quantities of frozen and chilled foods observed such as vegetables, frozen mince, fish and roast potatoes. There were low stocks of fresh vegetables, there being carrots and potatoes. There was some fresh fruit in store, cereals, drinks, cakes and general provisions such as jams, sauces, packet soups and tinned foods. Residents were asked about their meals during the visit and the majority who commented were not satisfied. The consensus of opinion as stated by the residents, was that they don’t object to frozen or pre-prepared food but do not want this so often. They said they would like some fresh produce and home cooking regularly. To ensure that residents are provided with meals in accordance with preference, a requirement is made and advice given, that residents are to be consulted individually regarding the quality and content of their meals. Some positive aspects were noted. One resident said there is plenty of fresh fruit available when requested. On day two of the visits, the meal, which was seen, (steak, potatoes and vegetables) looked appetising and residents appeared to be enjoying the meal. To ensure that kitchen records, (Food, fridge and freezer temperatures, menus and special diets) are satisfactorily maintained, a recommendation is made that contact be made with Sefton Council Environmental Health, regarding the maintenance of kitchen records. The cook has been registered on an NVQ course but currently has no formal qualifications in catering and it is recommendation that such training be completed. Phoenix House DS0000064015.V345677.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. Phoenix House has procedures for complaints and protection of vulnerable adults, however some residents do not think that staff will take their complaints seriously. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standards 16 and 18. Phoenix House has a complaints procedure and procedures for Protection of Vulnerable Adults and Whistle Blowing. Staff who were spoken with said they had received training in Protection of Vulnerable Adults. The complaints procedure is provided to residents when they move in to the home, There has been one formal complaint to CSCI since the last inspection, which was investigated by the registered provider, within given timescales and with remedial action stated. Some of the residents were anxious about giving negative comments to staff on food, and said they did not like to complain as Phoenix House is their home and they would feel uncomfortable afterwards. To ensure that residents are assured that their complaints will be taken seriously, staff should receive instruction in complaints management. Phoenix House DS0000064015.V345677.R01.S.doc Version 5.2 Page 17 Phoenix House DS0000064015.V345677.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. Phoenix House is homely and comfortable but routine maintenance and repairs to the building and grounds are required because in its present condition, some aspects of the environment are not suitable for residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standards 19 and 26. Phoenix House is a converted dwelling house, which accommodates bedrooms on three floors with communal space and utilities on the ground floor and the office is on the first floor. There is a passenger lift to upper floors, and a portable ramp at the front entrance. There is a large lounge and a dining room, which are furnished and decorated in domestic and homely style. Residents said they were satisfied with their individual and shared Phoenix House DS0000064015.V345677.R01.S.doc Version 5.2 Page 19 accommodation. There is a garden with off-street parking at the front of Phoenix House, and a large garden with a patio at the rear. Although a contract gardener is employed to cut the grass, the rear garden was not in good condition during this visit, the grass, patio and flowerbeds were overgrown with weeds. The planters by the front door looked neglected with only dead plants in them. Repairs were needed to the roof, where one of the tiles had become dislodged and could cause injury to residents and visitors if it was to fall. A part time maintenance person is employed (between 3 and 4.30pm) to carry out programmed maintenance work. The laundry was well organised and the washing machine was in working order. The tumble dryer was out of order and staff were hanging clothes outside to dry, which was acceptable as the weather was fine. A new dryer was to be purchased on the day of the visit. Due to the layout of the building, items to be laundered are taken through the dining room. To avoid the risk of infection, it is advised that such items are placed in containers when being taken to the laundry. It is also advised that care staff who prepare food in the kitchen are provided with protective clothing to ensure that good hygiene standards are maintained. Domestic staff are on duty between 9am and 2pm every day, and the building was clean and well organised. Residents said they were satisfied with the cleanliness of the building. Phoenix House DS0000064015.V345677.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Staff have been vetted but further training will be needed to ensure they have the skills to carry out their duties. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standards 27,28,29,30. The staff roster was seen and had been satisfactorily maintained with the names of staff who are on duty for each shift. In addition to care staff, domestic and cooking staff are employed and a part time administrator. There has been a fairly high staff turnover during the past twelve months and there are induction and ongoing mandatory training programmes in place. Some training shortfalls were noted (regarding medication, patient handling and catering), and it is advised that training for all staff is reviewed to ensure they have the skills needed to fulfil their roles and responsibilities. Phoenix House has a recruitment procedure, which includes advertising posts, interviewing candidates and taking up references and CRB clearances. There was evidence of this in the staff files, which were read. Staff who were asked said they had job descriptions and contracts of employment. Phoenix House DS0000064015.V345677.R01.S.doc Version 5.2 Page 21 Phoenix House DS0000064015.V345677.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. The home is generally well managed but improvements will be necessary regarding staff supervision and risk management. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager, Mrs. Farrell is registered with CSCI, she has management experience and is currently undertaking a management qualification. The home has a quality assurance system carried out by a firm of consultants. This is based on seeking the views of residents and their representatives and the outcomes are published for those in residence, or who wish to move in to Phoenix House. Phoenix House DS0000064015.V345677.R01.S.doc Version 5.2 Page 23 Residents who commented confirmed that no member of staff of Phoenix House becomes involved in their personal financial affairs. One resident said, “They are not involved in holding money on my behalf. I have family if I need any help with money.” Staff who were spoken with had not received formal supervision recently and to ensure they have the support they need, it is recommended that supervision be arranged for all staff. The fire book and health and safety certificates were in good order. A record of accidents to staff and residents in the home is maintained and was read. To identify and eliminate tripping hazards, it is advised that an environmental risk assessment be carried out for the external rear doorway where a resident fell when on the way outside. Phoenix House DS0000064015.V345677.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 X 2 Phoenix House DS0000064015.V345677.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP15 Regulation 16 (2) (i) Requirement Timescale for action 15/08/07 2. OP16 22 3. OP19 23 To ensure that meals are suitable for residents and to their preference, adequate quantities of nutritious food should be provided which is properly prepared. To ensure that complaints made 30/08/07 by residents are taken seriously and they are assured they will be listened to, staff to receive instruction in complaints management. To ensure the building is in good 14/08/07 repair and to avoid risks to residents and visitors, remedial work to be carried out on the roof to secure any loose tiles. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Phoenix House DS0000064015.V345677.R01.S.doc Version 5.2 Page 26 1. OP7 To ensure that residents’ health care needs are fully documented, records should be maintained regarding medical referrals and the outcomes using the appropriate section of the care plan. To ensure that the risk of falls to residents is identified, and as far as possible eliminated, the accident book should be monitored and risk assessments carried out accordingly. To ensure that all staff have the necessary skills in medication management, it is recommended that training in this be updated for all staff who give out medication to residents. To ensure that the lifestyle in Phoenix House is meeting the needs of all residents, it is advised that consultation on activities with them is ongoing. To ensure that the content and quality of meals is to residents’ satisfaction, it is advised that consultation with on this is ongoing. To ensure that food safety is effectively monitored, it is advised that Sefton Environmental Health Department is contacted regarding the records to be maintained in the kitchen. To ensure that the cook has the skills necessary it is advised that formal training be provided in consultation with Environmental Health officers. To ensure that the grounds are suitable for residents, it is advised that the garden be tidied and the grass kept short. To avoid the risk of infection, items for laundering carried through the dining room should be in a container. To ensure that hygiene standards are maintained, care staff who prepare food in the kitchen should be provided with protective clothing. 2. OP7 3. OP9 4. 5. 6. OP12 OP15 OP15 7. 8. 9. 10. OP15 OP19 OP26 OP26 Phoenix House DS0000064015.V345677.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!